Bilingual Full-Cycle Medical Biller

This is a fully remote position, open to applicants in Nicaragua.

📋 Description

• Submit accurate claims both electronically and via paper.

• Verify eligibility, benefits, and coverage with insurance providers.

• Accurately apply: CPT codes, ICD-10 codes, and HCPCS codes.

• Process claims across various specialties and payer categories.

• Manage: Workers’ compensation claims, auto accident claims, and out-of-network billing workflows.

• Review Explanations of Benefits (EOBs) and resolve discrepancies in claims.

• Track denied or rejected claims and resubmit them with corrections.

• Follow up with insurance companies on unpaid or underpaid claims.

• Appeal denied claims and address billing discrepancies.

• Contact patients regarding outstanding balances and payment arrangements.

• Accurately post payments and reconcile accounts.

• Monitor accounts receivable aging and prioritize collection efforts.

• Maintain compliance with HIPAA regulations and confidentiality standards.

• Keep detailed records of: claims, payments, denials, appeals, and communications with patients regarding billing.

• Stay informed on billing regulations, coding updates, and payer requirements.

• Ensure billing documentation is accurate and ready for audits.

⛳️ Requirements

• Proficient in both English and Spanish (spoken and written) — REQUIRED.

• English proficiency level: C1 or higher is mandatory.

• A minimum of 1–2 years of experience in: medical billing, revenue cycle management (RCM), or U.S. healthcare administration.

• Prior experience supporting U.S.-based medical practices is REQUIRED.

• Strong knowledge of: insurance claims, AR follow-up, medical billing processes, denial management, and EOB interpretation.

• Proficient in: CPT coding, ICD-10 coding, and HCPCS coding.

• Experience with medical billing platforms such as: Kareo, eClinicalWorks, AdvancedMD, DrChrono, or similar systems.

• Strong organizational skills and the ability to multitask effectively.

• Excellent written and verbal communication skills.

• Capacity to work independently in a remote setting.

• High attention to detail and a strong sense of accountability.

🏝️ Benefits

• Competitive salary and performance-based incentives.

• Flexible work schedule and remote work options.

• Opportunities for professional development and career advancement.

• Comprehensive health benefits package.

• Supportive work environment that values collaboration and innovation.